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Airway Compression During Transcatheter Aortic Valve Replacement via Subclavian Artery Approach: A Case Report

DeAndrade, Diana S. MD*; Smith, Nicholas F. BS; McHugh, Stephen M. MD

doi: 10.1213/XAA.0000000000000927
Case Reports
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Transcatheter aortic valve replacement (TAVR) is an alternative to traditional surgery in patients considered to be at high or intermediate risk for open surgical repair of aortic stenosis. Despite its overall safety and efficacy, TAVR is associated with potentially serious complications including major vascular injury. Tracheal compression resulting from vascular pathology has been previously reported; however, airway compromise secondary to vascular injury during TAVR has not been described. We report a case of airway compression and respiratory compromise resulting from injury to the right subclavian artery during TAVR.

From the *Department of Anesthesiology, University of Pittsburgh, Pittsburgh, Pennsylvania

University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania

Department of Anesthesiology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

Accepted for publication October 8, 2018.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Stephen M. McHugh, MD, Department of Anesthesiology, University of Pittsburgh School of Medicine, UPMC Shadyside, Suite M205, 5230 Centre Ave, Pittsburgh, PA 15232. Address e-mail to mchughsm@upmc.edu.

Copyright © 2018 International Anesthesia Research Society
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